SearchIllinois363LA2200X

Shaun Cox

NPI 1487989513 · on the registry since 2009

Practice

Address
209 W Park St
Westville, IL 61883
Phone
(217) 267-3785

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-10-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois